JESSICA BAUER (NPI# 1265883557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265883557 |
| Entity Type | Individual |
| Full Name | JESSICA BAUER |
| Credential | NPC |
| Practice Address |
1713 S Church St Burlington NC 27215-5630 |
| Practice Telephone | 3362228888 |
| Mailing Telephone | 3362228888 |
| Mailing Fax Number | 3362220549 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011504 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP.019303 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA BOARD OF NURSING | 5011504 | 01 |
| OH | OHIO BOARD OF NURSING | CNP.019303 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476963 | Jessica Bauer | Physical Therapist | 2615 Jupiter Dr, Fairfield, OH 45014-5099 | 2018-08-09 |
| 1003342304 | Jessica Bauer | Psychologist | 8547 E Arapahoe Rd Ste J353, Greenwood Village, CO 80112-1436 | 2017-05-04 |
| 1316215361 | Jessica Lynn Bauer | Behavioral Analyst | 805 Fieldcrest Dr, Washington, MO 63090-4708 | 2011-12-06 |
| 1477161362 | Jessica Grierson Bauer | Internal Medicine | 800 Spruce St, Philadelphia, PA 19107-6130 | 2020-07-16 |
| 1225676315 | Jessica Lynn Bauer | Occupational Therapist | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2019-12-19 |
| 1639579766 | Jessica Bauer | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2014-08-26 |
| 1851684831 | Jessica Lauren Bauer | Obstetrics & Gynecology | 4425 Ponce De Leon Blvd Ste 110, Coral Gables, FL 33146-1842 | 2011-05-24 |
| 1801073614 | Jessica L Bauer | Occupational Therapist | 900 E Broadway Ave, Bismarck, ND 58501 | 2008-01-23 |
| Street Address |
1713 S CHURCH ST |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477659506 | Scott David Long | Physician Assistant | 1713 S Church St, Burlington, NC 27215-5630 | 2006-09-16 |
| 1831404227 | Tara Kathryn Kanady | Nurse Practitioner | 1713 S Church St, Burlington, NC 27215-5630 | 2010-08-10 |
| 1790719904 | Matrix Occupational Health Inc | Clinic/Center | 1713 S Church St, Burlington, NC 27215-5630 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988782 | Oshiokwueme Osilama | Nurse Practitioner | 11 Algonquin Dr, Burlington, MA 01803-3630 | 2020-07-03 |
| 1861053993 | Anjani Kumar Agarwala | Nurse Practitioner | 260 Winn St Apt B, Burlington, MA 01803-2636 | 2019-06-28 |
| 1720549637 | Sheri Soucy | Nurse Practitioner | 41 Mall Road 5 E Cardiology, Burlington, MA 01805-0001 | 2019-03-26 |
| 1225585573 | Kathleen Marie Ferrara | Nurse Practitioner | Walgreens Healthcare Clinic, 1747 Patrick Drive, Burlington, KY 41005 | 2016-09-03 |
| 1134525645 | Amy R Aeschliman | Nurse Practitioner | 425 E. 5th Street, Suite B, Burlington, IN 46915-1758 | 2014-11-10 |
| 1669888335 | Heide Wakefield-thorne | Nurse Practitioner | 37007 65th Ct, Burlington, WI 53105-8554 | 2014-07-02 |
| 1730518549 | Kelly Brush Davisson | Nurse Practitioner | 128 Lakeside Ave Ste 115, Burlington, VT 05401 | 2013-11-02 |
| 1083806939 | Mary Katherine Mcneice | Nurse Practitioner | Lahey Clinic Medical Center - Medical Oncology, 41 Mall Rd, Burlington, MA 01805-0001 | 2007-08-14 |
| 1033317557 | Susan Marie Dorman | Nurse Practitioner | 291 15th St, Burlington, CO 80807-1619 | 2007-07-05 |
| 1467650184 | Hart Healthcare, Pllc | Nurse Practitioner | 4467 Hackberry Ct, Burlington, KY 41005-6904 | 2007-07-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on JESSICA BAUER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.